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Journal of Public Health

, Volume 27, Issue 1, pp 63–76 | Cite as

Tracking the efficacy of the test and treat model of HIV prevention in India using National Family Health Surveys (2005–16)

  • Shri Kant Singh
  • Santosh Kumar SharmaEmail author
  • Deepanjali Vishwakarma
Original Article
  • 28 Downloads

Abstract

Aim

This paper aims to track the efficacy of the Test and Treat model of human immunodeficiency virus (HIV) prevention adopted by the government of India, 2015–16, using the last two rounds of National Family Health Survey, providing community-based insights in the testing of HIV prevalence in 2005–06 and 2015–16.

Methods

The survey collected information from a nationally representative sample of 69,751 men and 124,385 women in 2005–06 and 103,411 men and 121,118 women age 15–49 in 2015–16 respectively. Both descriptive and multivariate techniques have been used.

Results

The 'test and treat' model of HIV in India portrays a women-centric effort to ensure HIV testing as part of their ANC, resulting in a substantial increase in ever being tested for HIV. Women who are educated, living in urban areas, and in economically better households are more prone to have ever undergone HIV testing, it is a welcome change given the existing HIV scenario, with a continuously narrowing gender gap in new HIV infections (NFHS-4). Women and men having positive attitude towards stigma and discrimination to people living with HIV (PLHIV) are in better agreement to ever being tested. Further, women and men having knowledge about antiretroviral therapy (ART) are 1.6 times (p < 0.001) and 1.8 times (p  < 0.001) more likely to have ever been tested for HIV.

Conclusions

Despite an improvement in coverage of HIV testing, the existing disparities in HIV testing and treatment require policy instruments with an integrated approach. Government should work in close collaboration with communities/key stakeholders, and efficiently use their resources to provide evidence-based HIV prevention and treatment interventions.

Keywords

HIV testing Treatment Test and treat model HIV prevention Gender India 

Abbreviations

NFHS

National Family Health Survey

PLHIV

People living with HIV

ANC

Antenatal care visit

HIV

Human immunodeficiency virus

ART

Antiretroviral therapy

Notes

Acknowledgements

The authors of this papers are thankful to the participants. The paper did not receive any specific grant from funding agencies in the public, commercial, or not-for-profit sectors.

Compliance with ethical standards

Conflict of interest statement

The authors of this paper declare that they have no conflict of interest.

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Copyright information

© Springer-Verlag GmbH Germany, part of Springer Nature 2018

Authors and Affiliations

  • Shri Kant Singh
    • 1
  • Santosh Kumar Sharma
    • 2
    Email author
  • Deepanjali Vishwakarma
    • 2
  1. 1.Department of Mathematical Demography and StatisticsInternational Institute for Population SciencesMumbaiIndia
  2. 2.International Institute for Population SciencesMumbaiIndia

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